Identification of a broad lipid repertoire associated to the endothelial cell protein C receptor (EPCR)

Evidence is mounting that the nature of the lipid bound to the endothelial cell protein C receptor (EPCR) has an impact on its biological roles, as observed in anticoagulation and more recently, in autoimmune disease. Phosphatidylethanolamine and phosphatidylcholine species dominate the EPCR lipid cargo, yet, the extent of diversity in the EPCR-associated lipid repertoire is still unknown and remains to be uncovered. We undertook mass spectrometry analyses to decipher the EPCR lipidome, and identified species not yet described as EPCR ligands, such as phosphatidylinositols and phosphatidylserines. Remarkably, we found further, more structurally divergent lipids classes, represented by ceramides and sphingomyelins, both in less abundant quantities. In support of our mass spectrometry results and previous studies, high-resolution crystal structures of EPCR in three different space groups point to a prevalent diacyl phospholipid moiety in EPCR’s pocket but a mobile and ambiguous lipid polar head group. In sum, these studies indicate that EPCR can associate with varied lipid classes, which might impact its properties in anticoagulation and the onset of autoimmune disease.

EPCR is a transmembrane MHC class I-like glycoprotein primarily abundant in the vasculature of large vessels 1 , but present in numerous cell types. Apart from the endothelial cell lining, EPCR is found in eosinophils 2 , neutrophils 3 , monocytes 4 , keratynocytes 5 , neurons 6 , bone marrow and hematopoietic stem cells 7,8 , cardiomyocytes 9 , vascular smooth muscle cells 10 or placental trophoblasts 11 . Since its identification, EPCR has been mainly known for its role in accelerating the generation of the anticoagulant activated protein C (APC) and favoring its cytoprotective properties [12][13][14][15][16] . More recent studies have linked EPCR to other scenarios, such as severe malaria, as EPCR mediates gripping to membrane proteins in infected erythrocytes 17 . In a more immunological setting, two studies have described subsets of γδ T cells that target infected cells via EPCR. The first study reports cytomegalovirus-infected endothelial cells and epithelial tumors as γδ T cell targets 18 , while a second and more recent study defines a role for EPCR in the recognition of mast cells upon infection with dengue virus 19 . Further, EPCR has been associated with autoimmune disease and related coagulopathies, as proved by several groups reporting the presence of anti-EPCR autoantibodies in antiphospholipid syndrome 20,21 and ulcerative colitis 22 .
Structurally, EPCR shares a notable degree of homology with the CD1 family of receptors, including the presence of a central and extended hydrophobic cavity suitable for lipid antigens, flanked by two alpha helices lying on top of a beta sheet. The high-resolution structures reported by Oganessyan and coworkers 23 provided solid evidence for the presence of a phosphatidylethanolamine (PE) molecule bound in the EPCR lipid cleft. More specifically, it is shown that the two acyl chains are buried inside the hydrophobic pocket, while the polar head group is outwardly positioned, and therefore accessible for potential binders. Later studies showed that phosphatidylcholine is abundant in EPCR, and that certain lysophospholipids can also bind to EPCR and modulate its anticoagulant and cytoprotective properties 24 , which gave rise to the concept of EPCR encryption 25 . Indeed, lysolipid molecules show an affinity for EPCR greater than that of diacyl-PC, with K D values ranging 1 to 8 µM for

Results
The EPCR lipidome. The human extracellular region of EPCR (hereafter referred as EPCR) was produced in sf9 insect cells and purified to homogenity ( Supplementary Fig. 1). Subsequently, the lipid content was isolated with a standard procedure based on organic solvents and the lipid fractions were dessicated under a stream of nitrogen prior to mass spectrometry analyses. Liquid chromatography-mass spectrometry (LC-MS) analyses yield a total of 41 different lipids identified (Table S1 and Fig. 1), of which 38 and 32 were determined in positive and negative ionization mode, respectively. Thirty-one of these lipids could be detected in both ionization modes providing a greater confidence in their identification.
Up to four independent samples were prepared and analyzed and the lipids present in at least three of those samples are described here, along with their relative abundances (Fig. 1). The main lipid category found in EPCR was the glycerophospholipid (GPL) class, counting up to 98% of the total lipid population. Within this class, phosphatidylcholines (PC) constitute the most abundant species (Fig. 1A and C), making up to 85% of the total lipids. Phosphatidylethanolamines (PE) (12%), phosphatidylinositols (PI) (0.96%), phosphatidylserines (PS) (0.29%) and lyso forms containing just one acyl chain, such as lysophosphatidylcholine (LPC) (0.029%) and lysophosphatidylethanolamine (LPE) (0.0071%), were also found in smaller amounts. Ceramides (Cer), sphingomyelins (SM) and diacylglycerols (DG) were found as well in very small proportions (0.60%, 1.3% and 0.26%, respectively (Figs. 1B and C). In a control sample containing the insect cell culture growing medium we could only detect fatty acids.
The identification of each lipid was based on their m/z, MS/MS spectra (Fig. 2) adduct formation distribution, and collisional cross section (CCS) values obtained from ion mobility. The CCS values for selected adducts of these lipids were obtained (Table S1), and confirmed in the CCSBase (https:// ccsba se. net). The average error associated to each experimental CCS determination was 0.37%, which is in agreement with the error associated to single-field CCS determination 31 . Fitting of the data was excellent ( Figure S2), supporting the ion mobility data for lipid identification.
Analyzing acyl chain compositions, several chain lengths and double bond distributions could be found, especially in the major lipid classes. Acyl chains of 16 and 18 carbons were the most frequent in both sn-1 and sn-2 positions (Fig. 3), being present in basically all lipid classes. Longer chains could be found, mainly in the sn-1 position and never exceeding 22 carbon atoms. Interestingly, as opposed to Cys13 and Leu161 in CD1d, which allows arrangement of sn-1 acyl within the A´ pocket, EPCR contains bulkier methionine and phenylalanine residues. This suggests a more severe restriction for long acyl groups in EPCR ( Figure S3). Regarding unsaturations, we found a major population defined by 1 unsaturation in the sn-1 acyl chain. The heterogeneity encompasses lipids from 0 to 6 unsaturations in sn-1. As for sn-2, this heterogeneity is reduced, and we only detected species with 0 to 2 unsaturations, being 1 the most representative. Altogether, the length and number of unsaturations detected mirrors a lipid cavity suitable for the binding of diverse lipids, where 18-carbon long PC and PE species with a low number of unsaturations are the dominant species (Fig. 3).
Consequently, the major lipid bound to EPCR was X-ray diffraction studies suggest phospholipid heterogeneity. We undertook X-ray diffraction studies that allowed analysis of the cavity content using a different approach. For this, we performed a wide crystallization screen and obtained EPCR crystals in varied conditions, which ultimately led to solution of the structure in three different space groups. The resolution in all cases was set to 1.95 Å (Table 1), with data completeness above 99% and half-split Pearson correlation coefficients (CC 1/2 ) values greater than 0.5 in the highresolution shells. Out of the three different space groups, P3 1 21 recapitulates a previous structure crystallized in the same space group 23 , with 1 molecule of EPCR in the asymmetric unit. Crystals grown in other conditions yielded EPCR structures in two novel space groups, C222 1 and P2 1 (Fig. 4B) . EPCR shows in all cases a conserved CD1-like α1-α2 scaffold depicting two alpha helices sitting over a beta sheet and creating a hydrophobic tunnel-like cleft for lipid binding. As for CD1 molecules, two pockets, referred as A' and F' , are found in EPCR's groove and provide adequate chemistry for accommodation of alkyl-based ligands such as diacyl lipids. We observed, however, non-homogeneous signals inside the lipid cavities. EPCR in P3 1 21 and P2 1 2 1 2 1 space groups present strong and continuous Fobs-Fcalc difference maps that suggest a prevalent diacyl molecule but a more ambiguous head group moiety (Fig. 4C). Fitting of a diacyl phospholipid scaffold (lacking the outermost head group) satisfied the overall shape of the map, albeit with some degree of uncertainty for the orientation of the carbonyl groups. Despite the high resolution, we observed a less accurate electron density map in one of the two EPCR molecules in space group C222 1 , where the signal appears disconnected (Fig. 4C) and fitting of a diacyl phospholipid results less satisfactory. Thus, in agreement with the MS results, the diffraction studies of our EPCR crystals suggest that varied phospholipids fill the EPCR's hydrophobic pocket.
The polar regions of the lipids bound to EPCR are not structurally locked. The lack of a solid electron density in the lipid cavity, as seen in some of the crystal structures, could be an indication not only of lipid heterogeneity, but unstable lipid binding. In order to assess the later, we mapped the atomic displacement parameters (ADPs, also known as B-factors) in all space groups in which EPCR was crystallized (Fig. 5). Persistent lower B-factor values were observed for the buried fatty acids, shielded inside the A' and F' hydrophobic pockets, and suggesting locked, stable binding. On the contrary, the B-factor values are higher for the atoms in the polar regions, which locate near the EPCR groove opening, thus indicating less stable or disordered binding. The P3 1 21 space group yield the highest B-factors for all atoms, while those EPCR-lipid complexes present in the P2 1 2 1 2 1 crystal structure showed the most rigid atom positions, as suggested by the lower B-factor values. These results suggest that EPCR lipids are tightly bound through the acyl chains but a less stable interaction is achieved around the polar region.
The morphology of EPCR's lipid cavity is malleable. Lastly, we looked at the geometric properties of the binding pockets in all space groups (Fig. 6A) and compared their shapes and volumes. Amongst all EPCR where both values were found in two of the four EPCR molecules present in the P2 1 2 1 2 1 space group asymmetric unit. The only molecule found in P3 1 21 yield a ~ 1375 Å 3 cavity while the two molecules in the asymmetric unit of C222 1 have pockets of 1410 and 1540 Å 3 . As a reference, the EPCR molecule previously crystallized 23 in space group P3 1 21 was calculated to have a ~ 1550 Å 3 cavity. Although with a tendency to be smaller, these values fall within the range found for the pockets of the CD1 family of lipid-binding receptors 32 . Two main pockets of hydrophobic nature can be discriminated as part of the morphology of the lipid cavity, denoted as A' and F' , where the acyl chains are allocated. Although not hydrophobic in their chemistry, additional empty spaces are observed in two additional smaller pockets beyond A' and F' (Fig. 6B,C). While the extra space near F' is present in all EPCR structures presented herein, the additional pocket close to A' is only shown in some molecules.
In conclusion, our crystallization studies provide an alternative view that, like our mass spectrometry results, indicate that EPCR presents a plastic cavity that associates with a heterogeneous and mobile population of phospholipids.

Discussion
The presence of a lipid bound to EPCR is key for its biological functions. Oganessyan and colleagues provided solid evidence, on one hand, for the presence of PE bound to EPCR through a high-resolution crystal structure, and on the other hand, for the relevance of the bound lipid in EPCR's functions, as removal of the lipid fraction led to loss of its ability to bind APC 23 . A later work expanded these results, showing first, the predominant presence of PC in the lipid cargo of EPCR, second, the ability for lipid exchange and third, the lipid-dependent APC activation and antiapoptotic properties of EPCR 24 . Of note, EPCR has also been associated with autoimmune disease. In particular, with coagulopathies linked to the antiphospholipid syndrome 20,21 , and on a different ground, with ulcerative colitis 22 . These studies indicate that EPCR is an autoantigen capable of recruiting autoantibodies, which could ultimately contribute to the onset and course of inflammatory response in autoimmune disease. Moreover, a recent study reports that a well-defined lipid, lysobisphosphatidic acid, present in the endosomal compartment of monocytes, loads into EPCR and triggers binding of antiphospholipid antibodies on the cell surface 21 . Given these precedents, a deep understanding on the classes of lipids that EPCR can bind is therefore of interest. We previously investigated the lipid content via thin layer chromatography 24 . This technique, combined with staining of organic molecules with phosphomolybdic acid allowed us detect the most populated lipids in EPCR samples: PC and PE. Phosphomolybdic acid is a widely used chemical for detection and visualization of a large variety of organic compounds, including phospholipids. However, the identification of other compounds present in less abundant quantities might be compromised. To deepen into the lipids that conform the EPCR lipidome and which could be in lower quantities, we undertook a mass spectrometry approach. In agreement with previous results, the most abundant lipids found where PC and PE. These are represented by species containing varied acyl chain lengths and unsaturations. The presence of a phospholipid molecule is consistent with previous results 23 via X-ray crystallography, where the structural analyses provide documented evidence for a phospholipid molecule bound to EPCR. The exact nature of this molecule becomes evident in the structure of EPCR complexed with the Gla domain of protein C (PDB accession code 1LQV). On the other hand, the structure of EPCR without the PC Gla domain (PDB accession code 1L8J) shows ambiguous electron density at the lipid polar region, whereby the head group of the phospholipid could not be accurately determined. This suggests that the EPCR protein co-crystallized with a non-homogeneous phospholipid molecule bound in the groove. Later studies confirmed the presence of PE, but also PC, in the organic fraction released from EPCR 24 , providing the first evidences of EPCR lipid heterogeneity. Remarkably, apart from the major phospholipid content, we also identified other lipids not previously associated with EPCR. These are phosphatidylserine (PS), phosphatidylinositol (PI) and, surprisingly, sphingomyelin and ceramides.
PS is found primarily in human brain tissues and, importantly, in the inner leaflet of cell membranes 33 . Exposure of PS upon cell injury provides and anchoring platform for various coagulation factors, a mechanism widely accepted to favor a procoagulant setting. Consequently, binding of PS to EPCR on the endothelial lining might associate with a novel mechanism linking PS with a prothrombotic setting.
As for PI, it can represent up to 10% of the phospholipid moiety in brain tissue, although it is less abundant in the membranes of eukaryotic cells 34 . Contrary to other phospholipids, PI has a unique structural motif, as it carries a myoinositol sugar group covalently linked to the lipid head. Myoinositol is a cyclic carbohydrate that differs from other phospholipids head groups in both the volume and number of functional (-OH) groups. Like myoinositol, other cyclic carbohydrates in the form of galactose and glucose are often linked to reactive CD1drestricted NKT-cells, which can recognize and respond to lipids carrying a sugar moiety 26 . CD1d also binds PI and has been proposed to trigger self-reactivity 35 . In an analogous manner, it is tempting to speculate that this structural motif could trigger a lipid-restricted recognition of EPCR by proteins of the immune system, such as TCRs or antibodies.
EPCR properties are lipid-dependent. For instance, as described above, the presence of bound diacyl phosphoethanolamine or phosphatidylcholine is key for engagement of protein C/APC with EPCR. This is elegantly demonstrated by Oganessyan and coworkers with the 1.60 Å crystal structure of the Gla domain of protein C targeting EPCR 23 . The electron density of this complex shows excellent and unambiguous signal for PE, which defines with high accuracy the polar head group and the length of the acyl chains. In this structure (PDB 1LQV), it can be observed that Arg156 adopts a specific and rigid conformation through interactions with PE phosphate group. This interaction frees up space for the creation of a hydrophobic pocket that enables fitting of the protein C Gla Phe4 residue and consequently, docking of the protein C on EPCR (Supplementary Fig. 4). In the delipidated EPCR structure, the electron density for the Arg156 side chain is absent, which suggests high flexibility (elevated B-factors) and conformational disorder. Thus, the absence of a locked phosphate lipid head favors a loose Arg156 conformation that might likely hinder formation of the Phe4 pocket and proper interaction with protein C, as previously reported for delipidated EPCR 23,24 .
These observations that EPCR binders, such as protein C/APC, may bind preferentially to certain EPCRlipid complexes. Moreover, and in line with the lipid dependency of EPCR, surface plasmon resonance studies showed that loading of delipidated EPCR, whose interaction with protein C/APC is compromised, with PC restored its binding ability 24 . Up to date, several structural and binding studies have documented the binding of EPCR binders near the lipid pocket. These ligands are protein C and factor VII in both their zymogen and activated forms [36][37][38] and the CIDRα domains 39 found in the Plasmodium falciparum erythrocyte membrane protein-1 (PfEMP1) family of proteins. A recent study also suggests engagement of EPCR by antibodies on or near the lipid binding site 21 .
Although the binding cleft in EPCR is slightly wider than that of CD1d, both proteins present cavities that are hydrophobic in nature, and this chemical environment favors interactions with non-polar lipid tails in the A' and F' pockets, as defined for CD1d. We have seen that the most abundant species bound to EPCR carry lipid tails  40,41 , for instance, we did not find lipids with tails larger than 22 carbons in the lipid load of EPCR. A reasonable basis for this discrepancy can be found in the structural differences in the A' pocket of EPCR with respect to that of CD1d. The presence of bulkier Met13 and Phe164 in EPCR's groove near the edge of the phospholipid tail in the A' pocket, as opposed to Cys and Leu in CD1d, may confer a more severe restriction. In this line, the frequency of 22 and 24-carbon long lipids in CD1d is higher 42 . However, and similar to CD1d, we found that acyl chains of 18 carbons in both the sn-1 and sn-2 tails dominate the EPCR lipid sample. Although in a lower extent, we could also detect species with 16-carbon long acyl chains in the family of lysophospholipids, diacyl-phospholipids and sphingomyelins. Other minor species present shorter chains, like 14-carbon long ceramides, or longer, as detected for some ceramides (22 carbon in sn-2). Interestingly, in the lysophospholipid group, we could only detect 18-carbon long species in either sn-1 or sn-2. Nevertheless, as for CD1d 42 , phospholipid species represent a major component of the EPCR lipid signature. We also analyzed the extent of unsaturations. Most sn-1 chains had either 0 or 1 double bond, but higher degrees of unsaturations were detected, in some species, presenting up to 6 double bonds. Interestingly, unlike CD1d 42 , that yields lipids with up to 6 unsaturations in sn-2, EPCR shows a much lower complexity, whereby 1 double bond is the most prevalent unsaturation and lipids with more than 2 unsaturations are not detected. The fact that the source (cell lines) were these two proteins were produced are different could contribute to these discrepancies. CD1d was expressed in a human B cell line, while EPCR has produced in Spodoptera frugiperda sf9 cells.
Of particular interest is the identification of ceramides and sphingomyelin. These are structurally related with other sphingolipids such as hexosylceramides or lactosylceramides, among other types of lipids. Despite the presence of this class of molecules, we did not find glycolipids with sugar groups conjugated to ceramide backbones. The lack of such species could denote a structural restriction in EPCR caused by bulky sugar groups incompatible with fitting into EPCR's binding pocket. However, the detection of inositol-containing phospholipids in the EPCR lipidome does support this possibility. In this line, in a previous report, Marheineke K. et al. 43 analyzed the lipid content in sf9 cells, the cell type where we produce our recombinant EPCR, and could not detect glycolipid species. Thus, an alternative reason for the absence of glycolipids in the EPCR lipidome is the lack of a source for this specific lipid class. Likewise, we did not detect phosphatidic acid in our samples, but the presence of this molecule was not reported either in the sf9-derived lipid pool.
To explore the content of the cavity through a different approach, we carried out an extensive screening of crystallization conditions for EPCR. We obtained crystals in varied conditions and determined the structure of EPCR in three different space groups, which enabled a wider sampling of the EPCR-lipid complexes. In all cases, and in agreement with the mass spectrometry results and previous crystallographic data 23,44,45 , we observe a predominant phospholipid scaffold in all EPCR structures, regardless of the space group. Yet, the precise identity of the outermost fraction bound to the phosphate is ambiguous, which supports the presence of a heterogeneous phospholipid population bound to EPCR.
Analysis of the ADPs revealed a tendency to higher mobility in the lipid region proximal to the groove opening, i.e., the polar head group. This was expected as the buried fatty acids are embedded inside a hydrophobic core, and likely tightly gripped to the receptor. The polar region is in a more solvent-exposed and less locked scenario, hence, the higher static disorder.
As for the morphology of the cavity, it resembles in all cases that of the MHC class I-like CD1 family of receptors, with two major A' and F' pockets that provide room for binding of fatty acids. Additional space is found beyond these pockets in some, but not all, EPCR structures. However, these smaller cavities are surrounded by polar residues and therefore their chemistry is not optimal for accommodation of hydrophobic acyl chains. Further, the lack of electron density signal for side chains in the cavity suggest structural plasticity or disorder, i.e., the morphology of EPCR's cavity is not absolutely rigid. Whether these additional pockets could play a role in EPCR's functions requires further investigation.
In conclusion, we provide a comprehensive analysis of the lipids found in EPCR. Although with different abundances, EPCR hosts lipids of varied classes. Given the impact that well-defined lipids have on EPCR, including relevant roles in coagulation disorders and autoimmune disease, these findings accentuate the need to investigate the lipid-dependent properties of EPCR and their potential links with disease.

Materials and methods
Recombinant EF3 and 3C expression and purification. EF3 cDNA (Invitrogen) was N-terminal fused to MBP cDNA previously isolated from pMBP-MS2 plasmid (Josep Vilardell, Addgene plasmid # 65,104) by PCR. The fusion protein MBP/EF3 and 3C protease cDNA (Invitrogen) was PCR amplified to introduce a N-terminal NcoI restriction site and C-terminal XhoI restriction site. The resulting PCR amplified DNA was digested using FastDigest NcoI and XhoI (Thermo Fisher Scientific) restriction enzymes and cloned in frame with a C-terminal 6 × Histidine tag sequence containing pET-28b( +) transfer vector (kindly provided by Dr. Lasa, Navarrabiomed) using Optizyme™ T4 DNA Ligase (Thermo Fisher Scientific). Competent DH5α Ionic exchange chromatography was carried out in a HiTrap CaptoQ ImpRes column (Cytiva) to remove remaining impurities. EPCR was further purified by size exclusion chromatography using a Superdex 200 10/300 GL column (Cytiva). All purification steps were performed in an AKTA Pure platform (Cytiva). The purified protein was concentrated using Amicon ® Ultra-4 mL devices (Millipore Merck) with a molecular weight cutoff of 10 kDa. For crystallization purposes, the EPCR sample was further processed to remove the N-terminal 6xHisTag using a 50:1 (w/w) ratio with 3C enzyme overnight at 4 °C. The digested product was loaded onto a 1-mL nickel GraviTrap column (Cytiva) and collected in the flow-through. EPCR was then treated with endoglycosidase F3 (EF3) for reducing the extent of branched glycosylation. Digestion proceeded for 18 h at RT using a 1:10 (w/w) enzyme:EPCR ratio. EPCR was isolated from the mixture through an ionic exchange in a MonoQR 5/50 column and applying a 20-mL gradient from 0 to 0.3 M NaCl. The double-digested product was subjected to a final concentration step in a Nanosep 10 kDa cutoff device and used for crystallization trials.
Crystallization and collection of diffraction data. The EPCR sample at 5 mg/mL was screened against a broad (> 700) array of crystallization cocktails by the vapour diffusion sitting drop method. Initial hits were optimized in order to obtain larger crystals. These were soaked in mother liquor containing 20% glycerol or 20% ethylene glycol and cryo-cooled in liquid nitrogen. Crystal diffraction and data collection was performed at the BL13-XALOC Beamline in the ALBA Synchrotron and the Swiss Light Source X06DA -PXIII beamline at 100 K. The best crystals, which allowed collection of full datasets to 1 Refinement was carried out with Phenix.refine 50 and Refmac5 51 . Refinement strategies included XYZ and individual B-factors, optimization of X-ray/stereochemistry weight and X-ray/ADP weight and the use of noncrystallographic symmetry (NCS) for those datasets with more than one molecule per asymmetric unit. Initial steps were performed using rigid body refinement. Final model was generated through alternate manual building in Coot 52 and refinement with additional translation-libration-screw step. Lipid ligands and water molecules were added guided by Fo-Fc positive density maps in Coot. Chemicals www.nature.com/scientificreports/ Agilent Technologies. Ultrapure water (Milli-Qplus185 system Millipore, Billerica, MA, USA) was used in the preparation of mobile phase A.

Mass spectrometry analyses.
Sample preparation. The EPCR lipid moiety was extracted following standard isolation procedures with organic solvents 53,54 . Organic fractions were dried under nitrogen stream. Once dried, samples were resuspended in 100 μL MTBE:MeOH (1:1) and analyzed in the LC-MS system.
Analytical setup. The analysis of the samples was accomplished using an UHPLC system (1290 Infinity II system, Agilent Technologies, Waldbronn, Germany) coupled to a 6560 Ion Moblity LC/QTOF (Agilent Technologies) with an ESI ion source. The sample injection volume was set up to 1 μL for the analyses in positive ionization mode and 2 μL for the negative ionization mode. The separation was achieved using an InfinityLab Poroshell 120 EC-C18 3.0 × 100 mm, 2.7 µm (Agilent Technologies)) reverse phase column, at 50 °C. The chromatography was based on a mobile phase A (10 mM ammonium acetate, 0.2 mM ammonium fluoride in 9:1 water/methanol) and a mobile phase B (10 mM ammonium acetate, 0.2 mM ammonium fluoride in 2:3:5 acetonitrile/methanol/ isopropanol) pumped at 0.6 mL/min. The chromatography gradient began with 70% of phase B, decreasing to 86% B in minute 3.5 and maintained for 6.5 min until minute 10. The gradient then increased to 100% B in minute 11 and was maintained until minute 17. Finally, it decreased to 70% B in minute 17.10 and maintained till minute 19. Separate analyses were performed in order to collect the data in positive and negative ionization modes. These analyses were done in full scan mode with a mass range of 40 to 1800 m/z for both modes. The capillary voltage was set to 3500 V for both modes. The drying gas flow rate was 10 L/min at a temperature of 200 °C, the gas nebulizer was set at 50 psi, and the fragmentor voltage at 400 V. For the IM mobility analyses, data was recorded at 1 frame/s, having 16 frames/frame and using 60 ms as the maximum drift time.

Data availability
Atomic coordinates and structure factors for EPCR in space groups P3 1 21, C222 1 , P2 1 2 1 2 1 and for Tween20treated EPCR have been deposited in the Protein Data Bank under the accession codes 7OKS, 7OKT, 7OKU and 7OKV, respectively.